The holder whose full name is Penisten, Douglas Kevin,come from Tahlequah OK,hold the Optometrist license(NO.18001873A) which status is Expired.
| Name | Penisten, Douglas Kevin |
|---|---|
| License Number | 18001873A |
| License Type | Optometrist |
| License Status | Expired |
| City | Tahlequah |
| State | OK |